title: Measuring fidelity to a culturally adapted HIV prevention intervention for men in substance abuse treatment.
abstract: A fidelity measure was developed for use with Real Men Are Safe-Culturally Adapted (REMAS-CA), an HIV prevention intervention for ethnically diverse men in substance abuse treatment. The aims of this analysis were to: 1) assess the reliability of the Fidelity Rating and Skill Evaluation (FRASE); 2) measure improvement in therapist competence and adherence over time while delivering REMAS-CA; and 3) identify which modules of REMAS-CA were most difficult to deliver. Results showed that, 1) the FRASE was a reliable instrument; 2) therapists achieved adequate adherence and competence after training and demonstrated significant improvement over time in Global Empathy; and 3) Sessions 4 and 5 of REMAS-CA contained the most challenging modules for therapists to deliver. Recommendations for future REMAS-CA therapist trainings and fidelity monitoring are made.
authors.affiliation: Alcohol and Drug Abuse Institute, University of Washington, Seattle WA, USA. hatchm@uw.edu
authors.forename: Mary
authors.initials: M
authors.lastname: Hatch-Maillette
authors.forename: A Kathleen
authors.initials: AK
authors.lastname: Burlew
authors.forename: Sharriann
authors.initials: S
authors.lastname: Turnbull
authors.forename: Michael
authors.initials: M
authors.lastname: Robinson
authors.forename: Donald A
authors.initials: DA
authors.lastname: Calsyn
mesh_terms: D000328:Adult; D003376:Counseling; D003469:Culture; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D008297:Male; D011361:Professional Competence; D015203:Reproducibility of Results; D012725:Sexual Behavior; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000628:therapy*
keywords: Fidelity; HIV-prevention; Substance abuse treatment; Training